caa a22 4500 445357983 CHVBK 20180317142906.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0745-7 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0745-7 Tethered cord: natural history, surgical outcome and risk for Chiari malformation 1 (CM1) [Elektronische Daten] A review of 110 detethering [Laura Valentini, Giorgio Selvaggio, Sergio Visintini, Alessandra Erbetta, Vidmer Scaioli, Carlo Solero] The surgical results of this series of occult spina bifida seem better than the natural history registered in the long pre-operative period in terms of neurological deterioration. The major contribution to this result is attributed to neurophysiological monitoring that lowers the risks of permanent damage and increases the percentage of effective detethering. The present series of TCS, due to conus and filar lipoma, documents that CM1 is a really rare association occurring in less than 6% of the patients, despite the low position of conus. The detethering procedure did not influence the tonsillar position, thus excluding the correlation between the tethering and the tonsillar descent. The genetic alteration documented in a girl reinforces the hypothesis of a rare complex polymaformative picture deserving multiple procedures according to the prevailing clinical symptoms. The Author(s), 2011 Chiari 1 malformation nationallicence Children nationallicence Tethered cord nationallicence Detethering nationallicence Valentini Laura Department of Neurosurgery, Fondazione Istituto Neurologico "Carlo Besta”, Via Celoria 11, 20133, Milan, Italy aut Selvaggio Giorgio Department of Pediatric Surgery, Ospedale Pediatrico "Vittore Buzzi”, Milan, Italy aut Visintini Sergio Department of Neurosurgery, Fondazione Istituto Neurologico "Carlo Besta”, Via Celoria 11, 20133, Milan, Italy aut Erbetta Alessandra Services of Neuroradiology, Fondazione Istituto Neurologico "Carlo Besta”, Milan, Italy aut Scaioli Vidmer Services of Neurophysiology, Fondazione Istituto Neurologico "Carlo Besta”, Milan, Italy aut Solero Carlo Department of Neurosurgery, Fondazione Istituto Neurologico "Carlo Besta”, Via Celoria 11, 20133, Milan, Italy aut Neurological Sciences Springer Milan 32(2011-12-01), 353-356 1590-1874 32<353 2011 32 10072 https://doi.org/10.1007/s10072-011-0745-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0745-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Valentini Laura Department of Neurosurgery, Fondazione Istituto Neurologico "Carlo Besta”, Via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Selvaggio Giorgio Department of Pediatric Surgery, Ospedale Pediatrico "Vittore Buzzi”, Milan, Italy aut NATIONALLICENCE 700 1- Visintini Sergio Department of Neurosurgery, Fondazione Istituto Neurologico "Carlo Besta”, Via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 700 1- Erbetta Alessandra Services of Neuroradiology, Fondazione Istituto Neurologico "Carlo Besta”, Milan, Italy aut NATIONALLICENCE 700 1- Scaioli Vidmer Services of Neurophysiology, Fondazione Istituto Neurologico "Carlo Besta”, Milan, Italy aut NATIONALLICENCE 700 1- Solero Carlo Department of Neurosurgery, Fondazione Istituto Neurologico "Carlo Besta”, Via Celoria 11, 20133, Milan, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-12-01), 353-356 1590-1874 32<353 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer